督灸改善糖尿病周围神经病变患者神经组织损伤的效果及其对血液流变学、神经传导速度的影响  

Effect of moxibustion on improving nerve tissue injury in diabetic peripheral neuropathy patients and its influence on hemorheology and nerve conduction velocity

作　　者：陈梦杰 王逸婧 Chen Meng-jie;Wang Yi-jing(Department of Endocrinology,Kaifeng Hospital of Traditional Chinese Medicine,Kaifeng 475000,Henan,China)

机构地区：[1]开封市中医院内分泌科,河南开封475000

出　　处：《四川生理科学杂志》2024年第1期123-125,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:研究督灸治疗糖尿病周围神经病变患者对其神经传导速度、血液流变学及神经组织损伤的影响。方法:选取本院2021年2月至2022年4月期间127例糖尿病周围神经病变患者作为研究对象,随机分为对照组和观察组,对照组63例给予糖尿病周围神经病变常规干预,观察组64例联合督灸治疗,对比两组患者血液流变学、神经传导速度、神经感觉功能和不良反应。结果:治疗后,观察组全血高切粘度、全血低切粘度、血浆粘度和纤维蛋白原水平均低于对照组(P<0.05);观察组胫总神经和腓总神经的运动神经传导速度(Motor nerve conduction velocity,MNCV)、感觉神经传导速度(Sensory nerve conduction velocity,SNCV)水平均高于对照组(P<0.05);观察组神经功能评分、神经反射评分、感觉功能评分均低于对照组(P<0.05);两组均未发生明显不良反应。结论:督灸治疗能够有效提高神经感觉功能,改善糖尿病周围神经病变患者血液流变学,提高神经传导速度,安全性高,具有临床推广价值。Objective:To investigate the effects of moxibustion on nerve conduction velocity,hemorheology and nerve tissue injury in diabetic peripheral neuropathy patients.Methods:A total of 127 patients with diabetic peripheral neuropathy in our hospital from February 2021 to April 2022 were selected as research objects,and randomly divided into control group and observation group.63 patients in the control group were received routine intervention with diabetic peripheral neuropathy,and 64 patients in the observation group were received combined treatment with moxibustion.Hemorheology,nerve conduction velocity,nerve sensory function and adverse reactions were compared between the two groups.Results:After treatment,whole blood high shear viscosity,whole blood low shear viscosity,plasma viscosity and fibrinogen in observation group were lower than those in control group(P<0.05);the Motor nerve conduction velocity(MNCV)and Sensory nerve conduction velocity(SNCV)of tibial nerve and peroneal nerve in observation group were higher than those in control group(P<0.05);neurological function scores,neurological reflex scores and sensory function scores in the observation group were lower than those in the control group(P<0.05).No obvious adverse reactions occurred in the two groups.Conclusion:Moxibustion treatment can effectively improve nerve sensory function,improve hemorheology in diabetic peripheral neuropathy patients,improve nerve conduction velocity,with high safety;which has the value of clinical promotion.

关 键 词：督灸 糖尿病周围神经病变 神经感觉功能 血液流变学 

分 类 号：R587.1[医药卫生—内分泌]